Individual
MATTHEW JAMES AUSSPRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
86344
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863444
—
SC
01
—
SCK6963365
MEDICARE PIN
SC
01
—
SCK6965019
MEDICARE PIN
SC
Enumeration date
04/07/2016
Last updated
09/16/2021
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